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Program Application Form
Application Fee - $25.00

All admission requirements for entry into the Credential Program are due by the end of your first semester of coursework. If applying to the Intern Program you must become fully admitted as soon as possible. You are not officially admitted to program until all of the following requirements have been met and received by the Department of Advanced Studies, DBH 348.

Preliminary or Intern Administrative Services Credential/MA Program:

• Admitted to the University - Contact the Graduate School at 667-3129
• Minimum GPA of 2.75
• Application and Fee Receipt ($25.00)
• Letter of Sponsorship from District or County Superintendent or Assistant Superintendent
• Verification of 2 Years Certificated Experience
• CBEST Verification (only if initially credential prior to 1983)
• Copy of a valid California Teaching or Service Credential (showing expiration date)
• Entry Interview: Students will participate in an interview during their first semester of coursework.

Please feel free to email Dr. John Borba, Program Coordinator, at jborba1@csustan.edu or call the Department of Advanced Studies Administrative Support Coordinator, Kathleen Hidalgo, at (209) 667-3364.

Complete Program Application Form

Verification	I have submitted the $25 application fee. Either fax (667-3043), mail, or bring a copy of this receipt to the Advanced Studies department office, DBH 348.
Applying for (select one):	Preliminary Administrative Services Credential Program ONLY Preliminary Administrative Services Credential & Master of Arts in Education (School Administration Concentration) Program (RECOMMENDED) Intern Administrative Services Credential Program Intern Administrative Services Credential & Master of Arts in Education (School Administration Concentration) Program
Your Name (First MI Last)
Student ID#
Street Address
City
ZIP
E-mail Address
Home Phone
Work Phone
Place of Employment
Position
Employer's Address
Confirmation	I understand that payment of the non-refundable Program Application Fee does not imply acceptance to any credential or Master's program or to the University.

||||||| Updated: 10/11/2012

California State University Stanislaus
One University Circle
Turlock, California 95382

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